RICHARD SERRA

SAN MARCOS, TX
NPI1649704354
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX  AT6239)
Enumeration Date2017-04-19
Last Update Date2017-04-19
Business Address
-- RICHARD SERRA ATC
1354 THORPE LN 6205
SAN MARCOS, TX 78666-1030
Phone number: 570-578-3124
Mailing Address
-- RICHARD SERRA ATC
1354 THORPE LN 6205
SAN MARCOS, TX 78666-1030
Phone number: 570-578-3124
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